Current concepts of frontal sinus surgery: An appraisal of the osteoplastic flap‐fat obliteration operation

Abstract

Abstract The osteoplastic flap‐fat obliteration operation has been utilized in a variety of clinical problems (osteomas, chronic infection, mucocele, extensive trauma) for the past eight years. The experience suggests that in carefully selected patients it is an effective operative procedure for the surgical control of these problems. Two failures, which were probably preventable, occurred in the 53 patients operated upon by this technique. Long term animal experiments and clinical experience support the merit of using fat as an obliterating material in the infected sinus. The only unfavorable long term result in otherwise successful patients has been the forehead embossment that has occurred over the frontal sinus osteoplastic flap area.